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Home My WebLink About1700 BLUEBIRD LN; ; CB032308; Permit08-26-20& City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB032308 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 21 5880051 3 Lot#: 0 Applied: 08/20/2003 Reference #: Plan Approved: 08/2012003 Issued: 08/20/2003 Project Title: MIRDAS RES NEW H20 HEATER Inspect Area: 1700 BLUEBIRD LN CBAD Construction Type: NEW Entered By: SB Applicant: AJACKS MAINTENANCE SERVICE 7631 LEMON AVE LEMON GROVE 91945 61 9-589-8888 Owner: MIRDAS JOANNE T 1700 BLUEBIRD LN CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstallIRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CIW OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.C%?3 s3@3 EST. VAL. Plan Ck. Deposit . Address (include BldglSuite I) Legal Description Lot No. Subdivision NamelNumber Unit No. Assessor's Parcel # Existing Use Proposed Use Business Name (at this address) Total # of units Phase No. Name Address city State/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged ny violation of Section 7031.5 by any applicant Telephone # ct 3h4( Name Address City State/Zip State License # License Class C-P 2 36 City Business License # Designer Name Address City State/Zip Telephone State License I 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company 2 a t TZ~ Policy No. 2 9aq6%~1 Expiration Date /t3 /$& 7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$IO01 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compe s up to one hundred attorney's fees. go Is unlawful, and shell subject an employer to ation, damages as provided for in Section 3706 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered fdr sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of *roving that he did not build or improve for the purpose of sale). 0 1, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number / contractors license number): 5. of work): I am exempt under Section I personally plan to provide the major labor end materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type Business and Professions Code for this reason: PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 YES 0 NO I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every authorized by such pe at any time after the w APPLICANT'S SIGNA DATE 6LG /T II expire by limitation and become null and void if the building or work building or work authorized by such permit is suspended or abandoned YELLOW: Applicant PINK: Finance INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN Is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CWMS. -8 -lJMamY QoNauL MaREaATE * POUCYeFfcTM POUCYwluTtoH DATEMMIWNYI DAlEmIW) CP WPSOFlWHlUmE COUCY Nm .m U I I I H I I I z042846ao6 10101102 . 10x)1103 *10 DAYS NOTICE FOR NON-PAY COUNTY OF SAN DIEGO-DEPT OF PLANNING & LAND USE-BLDG PERMIT DIV., 5201 RUFFIN RD SAN DIEGO, CA 921 23